A Comparative Study to Assess the Knowledge and Attitude on Organ Donation among Adults Visiting Opd s of a Hospital and a Mall in Navi Mumbai

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1 Original Article A Comparative Study to Assess the Knowledge and Attitude on Organ Donation among Adults Visiting Opd s of a Hospital and a Mall in Navi Mumbai Rintu Elsa Mathew 1, Priyadarsini John 2, Kailash Jawade 3 1 Department of Medical-surgical Nursing, M.Sc Nursing student, Department DY Patil College of Nursing, Nerul, Navi Mumbai, Maharashtra, India, 2 Department of Medical-surgical Nursing, DY Patil College of Nursing, Nerul, Navi Mumbai, Maharashtra, India, 3 Department of Surgery, DY Patil Hospital and Research Center, Nerul, Navi Mumbai, Maharashtra, India Abstract Background: Organ transplantation provides the only opportunity for patient with end-stage organ disease to have an enhanced quality of life and an extended survival. Multiple organ dysfunction syndrome is the failure of two or more organ systems in an acutely ill patient such that homeostasis cannot be maintained without intervention. There is currently a shortage of transplantable organs, mainly because the relatives of potential organ donors dying in the hospital are not routinely offered the choice of donating their loved one s organs. Methodology: The research design for the study was descriptive research design and sample for the study was 400, which was selected using non-probability convenient sampling technique. The tool for the data collection was validated by the experts and the reliability was established using Cronbach s Alpha method. A pilot study was conducted to determine the feasibility of the study following which the main study was done. Likert scale was used to assess the attitude. Data analysis was done using descriptive statistics and inferential statistics. Results: There is a significant association between the knowledge of adults from the mall with selected demographic variables such as income and religion as evidenced by the P < 0.05 level. It was also found that there was an association of the knowledge of adults from the hospital with selected demographic variables such as gender, heard about organ donation, and source of information with statistical evidence of P < 0.05 level. Apart from the knowledge the investigator also found that there was a significant association of the attitude of adults from the mall with selected demographic variables such as age, gender, religion, residence, and source of information evidenced by P < 0.05 level, and there was an association between the attitude of the adults from hospital with selected demographic variables such as gender, residence which was evidenced statistically by a P < 0.05 level. Conclusion: Based on the results of the study, the investigator concluded that just under half of the samples who attended the hospital and the mall had average knowledge. On the other hand, the study also revealed that a large portion of the adults who attended the outpatient department s and the mall had a favorable attitude toward organ donation. Keywords: Adults, attitude, knowledge, mall, organ donation, outpatient departments Introduction Without the organ donor, there is no story, no hope and no transplant. But when there is an organ donor, life springs from Access this article online Website: ISSN No: DOI: /ijnmi/31 death, sorrow turns into hope and a terrible loss becomes gift. [1] Organ donation is a gift an individual can give to help someone who suffers from damage and gross malfunction of their organ. Organ transplantation has greatly improved the look of patients suffering from end-stage organ failure. [2] Organ transplantation provides the only opportunity for patients with end-stage organ disease to have an enhanced quality of life and extended survival. The critical care nurse is an essential member of the team in the donation process; linking the hospital to the organ procurement organization, physicians, Address for Correspondence: Mrs. Priyadarsini John, Department of Medical-surgical Nursing, DY Patil College of Nursing, Nerul, Navi Mumbai, Maharashtra, India. priyapearljohn@yahoo.co.in This is an open-access journal, and articles are distributed under the terms of the Creative Commons Attribution Noncommercial Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms International Journal of Nursing and Medical Investigation

2 and families of potential donors. [3] In spite of the sophisticated technologies and therapies, the death rate has increased because of the shortage of transplantable organs. [4] Zonal Transplant Co-ordination Centre (ZTCC) is a non-profit, a government organization which was started to promote organ donation in Mumbai. [5] The trend of cadaver donations has always been uneven in the city. In 2012, there were 27 donations, while in 2013, there were 24; in 2014 Mumbai city saw 41 donations which benefited 107 people. In 2015, there were 44 donations that helped 114 people. [6] In 2016, till March, there have been 54 cadaver donations. [7] According to ZTCC, on January 5, 2017, Mumbai witnessed its first cadaver donation of a 72-year-old brain dead patient. Last year (2016), the organ donation was the highest in 4 years with 58 cadaver donations: 91 kidneys, 58 liver, 34 hearts, and 1 lung were transplanted to several ill patients. The state even saw 132 organ donations out of which Nagpur and Aurangabad have together made 15 donations in Pune topped the list with 59 cadaver donation followed by Mumbai. [7] Organ donation is legal by Indian law. The Indian government enacted the Transplantation of Human Organ Act (THOA), 1994, which allows organ donation and legalized the concept of brain death. In India, a panel of 4 doctors have to declare one brain dead before the organs can be harvested this is done after a series of exhaustive tests such as cornea reflex test, cold caloric test, gag reflex test, and apnea test which are repeated twice in a time frame of 6 hours. The THOA also aims at regularization of removal, storage, and transplantation of human organs for therapeutic purpose and for prevention of commercial dealings in human organs. This act allows transplantation of human organs and tissues from living donors and cadavers. [8] According to a new data published by the National Transplant Organization (NTO), Spain has been the world leader in organ donation for the last 25 years and in 2016, it broke its own record for the number of transplants carried out. A total of 4818 organ transplants were carried out in Spain during 2016, beating the record of 4769 from the year before were kidneys, 1159 livers, 281 hearts, 307 lungs, 73 pancreas, and 4 intestines were retrieved during this year [9] Lack of awareness and a negative attitude toward organ donation are the main reasons for the reduced number of donors in India. Hence, the study was put forward in an attempt to assess the knowledge and attitude of the adults regarding organ donation which could motivate and encourage them to donate their organs. Objectives of the study To find the knowledge and attitude regarding organ donation among selected adults attending outpatient departments (OPD s) and visiting a mall. To compare the knowledge of selected adults attending OPD s and visiting a mall. To compare the attitude of selected adults attending OPD s and visiting a mall. To determine the association of knowledge of selected adults with selected demographic variables. To determine the association of knowledge attitude of selected adults with selected demographic variables. Methodology A comparative study to assess the knowledge and attitude regarding organ donation among selected adults attending OPD s of the selected hospital and visiting a mall in Navi Mumbai. It includes research design, study setting, population, variable, sample and sample size, sampling technique, development and description of tool, validity, and reliability, pilot study, data collection method, and statistical method to analyze the data. Research approach It involves the description of the plan to investigate the phenomenon under study in a structured (quantitative), unstructured (qualitative), or a combination of the two methods (quantitative-qualitative-integrated approach). [10] In this study, a quantitative research approach was used. Research design Research designs are plans and the procedure for research that span the decisions from broad assumptions to detailed methods of data collections and analysis. In order to meet the aims and objectives of a study, the researcher must select the most appropriate design. The selection of a research design largely depends on the nature of the research problem, the resource available, and accessibility of subjects and research ethics. [10] The research design used in this study is descriptive research design - survey method. Variables of the study Variable, as the name implies, is something that varies. Variables are the central building blocks of quantitative studies. [10] The independent variables of the study are knowledge and attitude of the adults. The dependent variables of the study are age, gender, Education, Occupation, Income, Religion, Residence and Habits The setting of the study The research setting refers to the place where the data were collected. The study was conducted in D.Y. Patil Hospital, Nerul, Navi Mumbai. The hospital is a 1230-bedded multispecialty hospital with various specialties and emergency services. In a day, people visit the OPD. The second study setting was Raguleela Mall in Vashi, Navi Mumbai around people visit the mall every day. Population Population is the set of people or entities to which the result of a research is to be generalized. [10] In this study, Population was adults attending selected OPD s and those visiting a mall. In this study, it included the selected adults who attended the International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September

3 OPD S of D. Y. Patil Hospital, Nerul, Navi Mumbai and visited Raguleela Mall, Vashi, who met the designed set of criteria. Accessible population Accessible population is defined as designated criteria and is also accessible as subjects for a study. [10] In this study, accessible populations are the selected adults who attended the OPD s of D.Y. Patil Hospital, Nerul and who visited Raguleela Mall, Vashi. Sample Sample may be defined as a representative unit of a target population, which is to be worked upon by researchers during their study. [10] The samples for the study were 200 adults who attended the OPD s of the selected hospital and 200 adults who visited the mall. Sample size The sample size for the study was 400, of which 200 subjects were the adults who attended the OPD s of the selected hospital and 200 adults who visited the mall. Sampling technique Sampling is the process of selecting a representative segment of the population under study. [11] In this study, the researcher chose a non-probability convenience sampling method. This was for easy accessibility and proximity of the researcher. Inclusion criteria Adults who are: Willing to participate in the study. Present at the time of data collection. Able to comprehend Hindi or English. Aged between 18 years and 80 years. Exclusion criteria Adults who are: Admitted in the hospital Working in the mall. Development of the tool Based on the objectives of the study and demographic variables, structured multiple choice questionnaires was prepared to evaluate the knowledge and attitude of adults regarding organ donation. After extensive and systemic review of the literature, the investigator developed a modified attitude scale which contained positive statements on organ donation. A 5-point Likert scale was used to assess the attitude. The sources of tool construction were review of literature from textbooks, journals and online source reports, other publications, thesis, and discussion with the experts, i.e., experts from medical-surgical nursing specialty, surgeon, plastic surgeon, associate professor, and statisticians, who enlightened and refined the investigator in preparing the tool. Description of the tool Section I: Demographic variables It included 10 variables to assess the demographic variables such as age, sex, education, occupation, income, religion, and residence, Habits, heard about organ donation. Do you know anyone who donated an organ or anyone who has an organ donor card? Section II: Semi-structured multiple choice questionnaire This section had 20 semi-structured multiple choice questionnaire to assess the knowledge related to organ donation. Participants were requested to put a tick over the correct answer. Each correct answer was awarded 1 mark. Therefore, the total score given was 20. Each question had 5 choices, out of which only one option was the correct. One answer is don t know and the remaining 3 were wrong. Grading of knowledge score In this questionnaire, each correct answer was awarded 1 mark making a total of 20. Section III: Attitude questions This section comprised of 20 positive attitude questions about organ donation. A 5-point Likert scale was used to assess the attitude. Validation of tool According to Polit and Hungler, validity refers to the degree to which an instrument measures what it is supposed to measure. [10] To obtain the content validity of the tool, the prepared tool was submitted to 15 experts in the field. Experts were chosen on the basis of their teaching and clinical experience and interest in the problem area. The experts included were: MSc Nurses in medical-surgical specialty - 10 PhD in Nursing - 1 Plastic Surgeon - 1 Surgeon - 1 Medicine Professor - 1 Statistician - 1. Necessary corrections were made after reviewing the suggestions given by the experts. Reliability of the tool The reliability of an instrument is the degree of consistency with which it measures the attribute it is supposed to be measuring. Reliability of the semi-structured multiple choice questionnaires was done on 10 patients using Cronbach s alpha method. The reliability coefficient of correlation for structured knowledge and attitude questionnaire was r = The higher the correlation coefficient, the more reliable is the instrument. The tool prepared was found to be a reliable one. Pilot study A pilot study, pilot project, or pilot experiment is a small scale preliminary study conducted in order to evaluate feasibility, time, cost, adverse events, and improve upon the study design prior to performance of a full-scale research project. The investigator conducted the pilot study from 12 th November 2016 to 20 th November 2016 at D.Y. Patil Hospital, Nerul, Navi 82 International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September 2018

4 Mumbai, and Raguleela Mall Vashi, Navi Mumbai. Permission from the concerned authorities of the hospital as well as mall was obtained before conducting the study. The purpose and the usefulness of the study were explained to the concerned authorities before taking permission. The investigator carried out the pilot study with 10% of the total sample. A non -probable convenient sampling technique was used for the selection of the sample. The pilot study was conducted on 20 selected adults attending OPD s and 20 adults visiting Raguleela mall. The investigator did not face any difficulty in conducting the pilot study, and hence no changes were made. Procedure for data collection The main study data was gathered from 18 th November 2016 to 2 nd December Permission from the D.Y. Patil Hospital and Raguleela Mall authority was taken before conducting the study. The investigator introduced herself and explained the purpose of the study and consent was obtained. The semi-structured multiple-choice questionnaires were distributed to the samples and collected back after it was filled. The semi-structured multiple-choice questionnaires were completed in the presence of the investigator to avoid contamination and bias in the collection of data. Everyday approximately samples were taken. Plan for data analysis It was planned to analyze the data using descriptive and inferential statistics. Descriptive statistics were used to find out: Frequency and percentage distribution of demographic variables of selected adults, Mean, mode and standard deviation for assessing the level of knowledge and attitude of adults on organ donation. Chi-square value was used to find out the association of knowledge and attitude with selected demographic variables of adults. Ethical consideration The following ethical factors were covered while conducting the study. The Ethical clearance was obtained from the ethical clearance committee of D.Y. Patil College of Nursing, Nerul. Formal permission was obtained from the Medical officer of D.Y. Patil Hospital, Nerul, Navi Mumbai and the manager of the Raguleela Mall. Results Analysis is the most important phase of the research process, which involve the computation of the certain measures along with searching for patterns of the relationship that exists among the data group. Analysis and interpretation of data include compilation, editing, coding, classification, and presentation of the data. [10] Sample of 400 adults from hospital and malls in Navi Mumbai. The gathered data were organized tabulated, analyzed with SPSS version, and interpreted using descriptive and inferential statistics on the basis of the following objectives of the study. Analysis of the study is organized in the following sections Section 1: Description of adults based on the demographic variables of adults attending OPD s and visiting a mall. Section 2: Evaluation of knowledge and attitude of adults attending OPD s and visiting a mall. Section 3: Comparison of knowledge and attitude of selected adults attending OPD s and visiting a mall. Section 4: Association of the knowledge and attitude with selected demographic variables. From the Tables 1-4, it is interpreted with regard to age of the adults in hospital, 113 (56.5%) were in the age group of years, 48 (24%) were in the age group of years, 31 (15.5%) were between 48 and 62 years, and 8 (4%) were in between 63 and 78 years. Whereas in mall, 76 (38%) were in the age group of years, 51 (25.5%) were in years, 63 (31.5%) were in years, and 10 (5%) were in years. With regard to gender in hospital, 123 (61.5%) were male and 77 (38.5%) were female whereas in mall, 95 (47.5%) were male and 105 (52.5%) were female. With relation to qualification in hospital 15 (7.5%) were professionals, 87 (43.5%) of them were graduates, 33 (16.5%) were intermediates, 34 (17%) were high schooled, 15 (7.5%) were middle schooled, 14 (7%) were primary schooled, and 2 (1%) were illiterate, whereas in mall, 31 (15.5%) were professionals, 100 (50%) were graduates, 32 (16%) intermediates, 24 (12%) were high schooled, 8 (4%) were middles schooled, 5 (2.5) were primary schooled, and 0 were illiterate. Table 5 shows that in hospital, 65 (32.5%) were professionals, 16 (8%) were semi-professionals, 10 (5%) were clerical/shop owners, 31 (15.5%) were skilled workers, 10 (5%) were semiskilled workers, 8 (4%) were unskilled workers, and 60 (30%) were unemployed. On the other hand, in mall, 89 (44.5%) Table 1: The knowledge score was interpreted as follows Knowledge level Score Poor knowledge 0 8 Average knowledge 9 13 Good knowledge Table 2: Grading of attitude score: The attitude was graded as follows Attitude grade Score Strongly agree 5 Agree 4 Don t know 3 Disagree 2 Strongly disagree 1 Table 3: The attitude score was interpreted as follows Attitude level Score Favorable Above 75% Neutral 50 75% Unfavorable <50% International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September

5 Table 4: Frequency and percentage distribution of selected demographic variables of adults attending OPD s and mall such as age, gender, and qualification Demographic Hospital n=200 Mall n=200 variables Age (56.5) 76 (38) (24) 51 (25.5) (15.5) 63 (31.5) (4) 10 (5) Gender Male 123 (61.5) 95 (47.5) Female ) 105 (52.5) Qualification Profession 15 (7.5) 31 (15.5) Graduate 87 (43.5) 100 (50) Intermediate 33 (16.5) 32 (16) High school 34 (17) 24 (12) Middle school 15 (7.5) 8 (4) Primary school 14 (7) 5 (2.5) Illiterate 2 (1) 0 (0) OPD s: Outpatient departments Table 5: Frequency and percentage distribution of selected demographic variables of adults attending OPD s and mall Demographic Hospital n=200 Mall n=200 variables Occcupation Profession 65 (32.5) 89 (44.5) Semi profession 16 (8) 18 (9) Clerical/shop owner 10 (5) 10 (5) Skilled worker 31 (15.5) 11 (5.5) Semi skilled worker 10 (5) 7 (3.5) Unskilled worker 8 (4) 4 (2) Unemployed 60 (30) 61 (30.5) Income (per month) (25.5) 76 (38.00) (12) 30 (15.00) (9.5) 16 (8.00) (8.5) 3 (1.50) (7) 9 (4.50) (4.5) 5 (2.50) < (33) 61 (30.50) OPD s: Outpatient departments were professionals, 18 (9%) were semi-professionals, None of the participants were both alcoholics and smokers, 10 (5%) clerical/shop owner, 11 (5.5%) were skilled workers, 7 (3.5%) were semi-skilled workers, 4 (2%) were unskilled workers, and 61 (30.5%) were unemployed. With regard to income (per month) in the hospital, 51 (25.5%) had income of Rs , 24 (12%) had income of Rs , 19 (9.5%) had income of Rs , 17 (8.5%) had income of Rs , 14 (7%) had income of Rs , 9 (4.5%) had income of Rs , 66 (33%) of them had <Rs However in mall, 76 (38%) of them had ³Rs , 30 (15%) of them had Rs , 16 (8%) of them had income of Rs , 3 (1.50%) of them had Rs , 9 (4.50%) of them had income of Rs , 5 (2.50%) of them had income of Rs , and 61 (30.50%) of them had income of Rs. <1932. Figure 1 illustrates the religions of selected 200 adults from mall and 200 adults from hospital. It was seen that in the hospital majority of the samples were Hindu s 107 (53.5%), 75 (37.5%) were Muslims, 11 (5.5%) were Christians, and 7 (3.5%) were others. Whereas in the mall, 83 (41.50%) were Hindu, 104 (52%) were Christians, 9 (4.50%) were Muslims, and 9 (4.50 %) were others. Figure 2 shows the place of residence of 200 adults from hospital and 200 adults from the mall. In hospital, 51 (25.5%) of them were from the rural area and 149 (74.5%) were from the urban area. Whereas in mall, 20 (10%) were from rural area and 180 (90%) of them were from urban area. The Table 6 shows, in relation to habits of adults from the hospital of which 22 (11%) were alcoholic, no one was with the habit of alcoholics and smokers, (0.5%) had all three habits like drinking alcohol, smoking and tobacco chewing, 7 (3.5%) were having habits of smoking; 13 (6.5%) were tobacco chewers; and 157 (78.5%) had none of the above-mentioned habits. Whereas in mall, 5 (3%) were alcoholic; 1 (0.50%) were alcoholic and smokers; 2 (1%) were alcoholic, smokers, and tobacco chewers; 10 (5%) were smokers; and 7 (3.50%) did not have any of the above-mentioned habits. Figure 3 shows with regard to awareness about organ donation of 200 adults from hospital and 200 adults from the mall. In hospital, 196 (98%) were aware of organ donation, but 4 (2%) of them did not have any awareness whereas in mall, 195 (97.5%) had awareness about organ donation and only 5 (2.5%) did not have any awareness on organ donation. Figure 4 shows with regard to the possession of organ donation cards among 200 adults from hospital and 200 adults from the mall. In hospital, 196 (98%) possessed an organ donation card, but 4 (2%) of them did not have whereas in the mall, 195 (97.5) had organ donation card and 5 (2.5%) of them did not have an organ donation card. Section 2: Assessment of knowledge and attitude of adults attending OPD s and visiting a mall Table 7 shows from hospital 10 (5%) of adults had excellent knowledge, 61 (30.5%) had average knowledge, and 129(64.5%) had poor knowledge. In mall, only 8 (4%) had excellent knowledge, 104 (52.0%) had average knowledge, and 88 (44.0%) had poor knowledge. Table 8 shows from hospital 173 (86.5%) of adults had a favorable attitude toward organ donation, 26 (13.5%) had neutral attitude and only an insignificant minority 1(0.5%) had an unfavorable attitude toward organ donation. In mall, 170 (85%) of the adults surveyed in the mall displayed a favourable attitude towards organ donation, 28 (14%) had neutral attitude and only 2 (1%) had an unfavorable attitude. Section 3: Comparison of knowledge and attitude of selected adults attending OPD s and visiting a mall Table 9 shows the comparison of knowledge and attitude of selected adults attending OPD s and visiting a mall. In the Hospital, 84 International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September 2018

6 Figure 1: Distribution of sample according to religion Figure 2: Distribution of sample according to the place of residence Table 6: Frequency and percentage distribution of selected demographic variables of adults attending OPD s and mall such as habits and source of information Demographic variables Hospital n=200 Mall n=200 Habits Alcohol 22 (11) 5 (3) Alcohol and smoking 0 (0) 1 (0.50) Alcohol, smoking, and 1 (0.5) 2 (1.00) tobacco chewing Smoking 7 (3.5) 10 (5.00) Tobacco chewing 13 (6.5) 7 (3.50) None 157 (78.5) 175 (87.50) Source of information Health worker 38 (19) 10 (5) Social media 46 (23) 51 (25.5) TV 53 (26.5) 50 (25) Radio 16 (8) 29 (14.5) Newspaper 24 (12) 35 (17.5) Friends 16 (8) 20 (10) Others 7 (3.5) 5 (2.5) OPDs: Outpatient departments Table 7: Knowledge of adults attending the OPD s in the hospital and those who visited the mall Knowledge Hospital n=200 Mall n=200 Poor 129 (64.5) 88 (44.0) Average 61 (30.5) 104 (52.0) Excellent 10 (5.0) 8 (4.0) OPDs: Outpatient departments Figure 3: Distribution of sample according to aware about organ donation Figure 4: Distribution of sample according to possession of organ donation card 129 (64.5%) had poor knowledge, 61 (30.5%) had average knowledge, and only 10 (5%) had excellent knowledge. In the mall, 88 (44.0%) had poor knowledge, 104 (52.0%) had average knowledge, and 8 (4.0%) had excellent knowledge [Figure 5]. Table 10 shows the comparison of knowledge and attitude of selected adults attending OPD s and visiting a mall. In the hospital, 170 (85%) had a favorable attitude, 28 (14%) had a Table 8: Attitude regarding organ donation among adults attending the OPD s in the Hospital and those who visited the mall Attitude Hospital n=200 Mall n=200 Favorable 173 (86.5) 170 (85) Neutral 26 (13.5) 28 (14) Unfavorable 1 (0.5) 2 (1) OPDs: Outpatient departments neutral attitude, and only 2 (1%) had unfavorable attitude. In the mall, 173 (86.5%) had favorable attitude, 26 (13.5%) had a neutral attitude, and 1 (0.5%) had an unfavorable attitude [Figure 6]. Section 4: Association of the knowledge with selected demographic variables of hospital From Table 11, it is evident that the association of knowledge of adult s from the mall is significant with the sociodemographic characteristics such as income and religion of the people. From the Table 12, it is observed that the association of knowledge in adults from the hospital is significant with respective sociodemographic characteristics such as gender and source of information. From Table 13, it is understood that the attitude of adults from mall is clearly significant with sociodemographic International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September

7 characteristics such as age, gender, religion, place of residence, and source of information. From the Table 14, it can be seen that the attitude of adults from hospital is clearly significant with sociodemographic characteristics such as gender, religion, place of residence, and source of information. Discussion The frequency and percentage distribution of adults from hospital and mall regarding organ donation are characterized by demographic variables such as age, gender, education, occupation, income, religion, residence, habits, heard about organ donation, source of information, any person whom you know who has donated an organ, and organ donation card. In the hospital, the majority of the age group belonged to years with 56.5% whereas, in malls, the majority of the age group belonged to years with a percentage of 76% respectively. Second, in relation to gender of the adults who attended the hospital, the highest percentage was that of males with 61.5%, however, the highest percentage of adults in the malls was that of females with 52.5%. On the other hand, with regard to the qualification of the adults who attended the malls (50%) as well as the OPD s (43.5%) was graduates. Similarly, it was also observed that the majority of adults were professionals who attended the OPD s and which was as high as 32.5%, whereas in the mall, it was 44.5%. Furthermore, with regard to income, it was seen that 33% of adults in the hospital had their income < 1932, whereas 38% of adults from the mall had income that is knowledge, 48% had a poor attitude toward being a donor, and 50% thought that live donation could cause a severe health problem. Among the participants, they are willing to donate the organs such as eye, followed by kidney and liver. [11] In the Hospital, 129 (64.5%) had poor knowledge, 61 (30.5%) had the average knowledge, and only 10 (5%) had excellent knowledge. The findings of this study were supported by Nahida Khan, Zahid Masood, Nadia Tufail, Hina Shoukat, KTA Ashraf, Sumera Ehsan, Sabeeka Zehra, Nosheen Battle, Sadia Akram, and Sehrish Khalid conducted a cross-sectional study to assess the knowledge and attitude of people toward organ donation in 2011 at Pakistan. It revealed that there was statistical significance in the association of knowledge and attitude about organ donation. [12] There was statistically significant association found between the level of knowledge and demographic variables such as age, gender, educational status, occupation, family income, the source of information regarding organ donation at P < 0.05, and the same demographic variable were significant with attitude also. [13] The finding of this study was supported by a study conducted by Arun Jose on knowledge and attitude regarding common misconceptions involved in organ donation at selected urban community, Bengaluru. There was statistically significant association found between the level of knowledge and demographic variable such as age, gender, educational status, occupation, family income, source of information regarding organ donation at P < 0.05 and the same demographic variable were significant with attitude. [13] The finding of this study was supported by a cross-sectional study conducted by K.K. Manojan, Vincy Nelson, Ramiz Raja, Nazeema Beevi, Reji Jose (2014) on knowledge and attitude toward organ donation in rural Kerala. It reveals that 97% of the participants had heard about organ donation. 53% had good Table 9: Knowledge of adults from hospital and mall n=400 Knowledge level Hospital n=200 Mall n=200 Poor 129 (64.5) 88 (44.0) Average 61 (30.5) 104 (52.0) Excellent 10 (5.0) 8 (4.0) Total 200 (100) 200 (100) Figure 5: Comparison of knowledge of selected adults from hospital and mall Table 10: Comparison of attitude of adult attending hospital and a malls n=400 Attitude level Hospital n=200 (%) Mall n=200 (%) Favorable 170 (85) 173 (86.5) Neutral 28 (14) 26 (13.5) Unfavorable 2 (1) 1 (0.5) Total 200 (100) 200 (100) Figure 6: Comparison of attitude of adult attending hospital and a mall 86 International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September 2018

8 Table 11: Chi square table for knowledge of mall (n=200) Demographic variables Calculated value (χ 2 ) Tabulated value Inference P value d. f. Age NS > Gender NS > Education NS > Occupation NS > Income S < Religion S < Residence NS > Habits NS > Heard about organ donation NS > Source of information NS > Table 12: Chi square table for knowledge of hospital (n=200) Demographic variables Calculated value (χ 22 ) Tabulated value Inference P value d.f Age NS > Gender S < Education NS > Occupation NS > Income NS > Religion NS > Residence NS > Habits NS > Heard about organ donation NS > Sources of information S < Table 13: Chi square table for attitude of mall (n=200) Demographic variables Calculated value (χ 22 ) Tabulated value Tabulated value P value d.f Age S < Gender S <0.5 1 Education NS >0.5 6 Occupation NS >0.5 6 Income NS >0.5 6 Religion S <0.5 3 Residence S <0.5 1 Habits NS >0.5 5 Heard about organ donation NS >0.5 1 Source of information S <0.5 6 Table 14: Chi square table for attitude of hospital n=200 Demographic variables Calculated value (χ 22 ) Tabulated value Inference P value d.f Age Not significant > Gender Significant < Education Not significant > Occupation Not significant > Income Not significant > Religion Not significant > Residence Significant < Habits Not significant > Heard about organ donation Not Significant > Source of information Significant < Conclusion Based on the findings of the study, the investigator concluded that just under half of the samples who attended the hospital and the mall had average knowledge. On the other hand, the study also revealed that a large portion of the adults who attended the OPD s and mall had favorable attitude toward organ donation. References 1. UNOS. Available from: 2. Lalitha K, Pushpalatha R, Bramaramba M. Organ donation is the gift on an individual to help someone who suffers from damage and gross malfunction of their organ. Organ transplantation has greatly improved the look of patient suffering from end stage organ failure. Asian J Nurs Educ Res 2014;4: Urden LD, Stacy KM, Lough ME. Critical Care Nurse. 7 th ed. Canada: Elsevier; Organ Donation Day. Available from: events/organ-donation-day/. 5. Available from: 6. Available from: 7. Shinoli J. Mumbai First Cadaver Donation of Mumbai: My Medical Mantra; Available form: International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September

9 com/mumbai-first-cadaver-donatio-of-2017/. 8. Govan F. How Spain Became the World Leader in Organ Transplants. The Local ES; Available form: how-spain-became-world-leader-at-organ-transplants. 9. Only 0.08 Per Cent of Indians Donate their Organs. The News Minute; Available form: cent-indians-donate-their-organs Sharma S. Nursing Research and statistics. 2 nd ed. New Delhi: Reed Elsevier India Private Limited; Manojan KK, Nelson V, Raja R, Beevi N, Jose R. Knowledge and Attitude Towards Organ Donation in Rural Kerala. Kerala: Academic Medical Journal of India; Available form: in/volume2-issue1-feb original-research-knowledge-andattitude-towards-organ-donation-in-rural-kerala/. 12. Khan N, Masood Z, Tufail N, Shoukat H, Ashraf KT, Ehsan S, et al. Conducted knowledge and attitude of people towards organ donation. Faisalabad,Pakistan. J Univ Med Dent 2011;2: Jose A. Knowledge and Attitude Regarding Common Misconceptions Involved Organ Donation at Selected Urban Community. Bengaluru: Scribed. Available form: Organ-Donation-Abstract-Arun. How to cite this article: A comparative study to assess the knowledge and attitude regarding organ donation among selected adults attending outpatient department of a selected hospital and visiting a mall in Navi Mumbai. Int J Nurs Med Invest. 2018;03(3): International Journal of Nursing and Medical Investigation Volume 3 Issue 3 July-September 2018